How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $660.69 Median $3,548.13 Typical High $7,943.28 | Facility | None | $660.69 | $3,548.13 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $323.59 | Professional | None | $158.49 | $245.47 | $323.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $741.31 Median $1,905.46 Typical High $2,041.74 | Facility | None | $741.31 | $1,905.46 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $309.03 | Professional | None | $239.88 | $239.88 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,047.13 | Facility | None | $524.81 | $912.01 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $346.74 | Professional | None | $181.97 | $234.42 | $346.74 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $912.01 Typical High $16,218.10 | Facility | None | $281.84 | $912.01 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $1,778.28 | Professional | None | $234.42 | $275.42 | $1,778.28 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $354.81 | Professional | None | $181.97 | $239.88 | $354.81 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $123.03 Typical High $162.18 | Professional | 52 · Reduced service | $79.43 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $48.98 Typical High $64.57 | Professional | 53 · Discontinued | $31.62 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $186.21 Typical High $239.88 | Professional | 54 · Surgery only | $120.23 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $37.15 Typical High $47.86 | Professional | 55 · Aftercare only | $23.99 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $24.55 Typical High $32.36 | Professional | 56 · Pre-op care only | $15.85 | $24.55 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $173.78 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $112.20 | $173.78 | $223.87 |
Where Kansas sits
The same service costs 4.7 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 14th of 51
$324
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.